New Thinking

Are Antioxidants Problematic in the Treatment of Chronic Fatigue Syndrome?

What may be a driving force for both clinical benefits as well as relative risk of using antioxidants as well as omega-3 fish oil is the redox stability of the patient being treated. In the case of CFS, that redox stability or redox buffer capacity is very poor and demonstrable by ETM in all cases of CFS so far tested. The point is that antioxidants are all potentially pro-oxidants and possibly harmful if used to excess in an overly oxidizing state such as CFS as they cannot be maintained in their reduced state. If fully oxidized, antioxidants are pro-oxidants if they cannot be re-reduced. Published meta-analysis studies of anti-oxidant use show both increased mortality and morbidity in populations of both healthy and non-healthy patients. It is likely that if those studies could separate the redox stable vs. the redox unstable sub-sets of patients under study, the data might be much more compelling concerning the risk vs. benefit of pharmacologic doses of antioxidants.

Low birth weight, diastolic heart failure and CFS – Is there a connection?

Two published studies show that diastolic heart failure (DHF) in the elderly and low birth weights at term in infants have occurred during the same time frame from 1990-2000. No one has an explanation for these anomalies at the ends of the age spectrum in humans but suspect an environmental factor or factors. We have a rising case load of diastolic dysfunction seen in 97% of our CFS cases (ave. age 49) and some appear to have what I would call compensated diastolic heart failure. I would define compensated DHF in CFS as an extremely low cardiac output with a cardiac index (CI) below 2.0 and very poor functional capacity combined with the inability to stand which is the corollary in DHF to the inability to lay down flat in systolic heart failure (SHF). Heart failure patients are typically below 2.0 in CI. I have several CFS patients below that number and they cannot stand still for more than 15-30 seconds without having to sit down or fall down. Walking or moving helps which makes sense as that would increase filling pressures and equivalent to laying down. They might be diagnosed as having orthostatic intolerance by others. These patients are also typically thin or near ideal body weight and have a high catabolic to anabolic ratio on 24 hour urine hormone analysis when I have measured it.

Vaccination – a complex decision with increasingly no good answer

It appears vaccine contamination risk will be a rising threat as we approach over 50 different vaccinations now recommended in children and now including the increased microbial contamination risk of cell associated vaccine manufacturing. In such vaccination decisions, one has to weigh the risk to benefit ratio of each vaccination including the multi-vaccine vaccinations in a particular individual at one moment in time. The longer view risk to the population of such aggressive vaccination programs is even murkier.

EMF and Cell Phones – Do they harm CFS patients?

I placed three cell phones on his chest wall as he lay on the echocardiograph table and called my office number and left the phones on his mid-sternum for one minute while they rang that number. I then measured the IVRT response every minute after turning the phones off. He “experienced” the documented free energy decline by IVRT criteria as feeling heaviness in his chest. Below is the powerpoint slide of the resulting IVRT decline at each minute after the cell phones were turned off.

The immunosuppression of ERV’s and XMRV – Is XMRV actually chronic Lyme disease?

Below is an interesting link to a thorough discussion on gammaretroviruses and the related human endogenous retroviruses ERV’s of which there are 2,000 ERV genes located on a single human chromosome. There are thousands of ERV’s spread across the entire human DNA grouped into 24 families. XMRV has 95% homology with human ERV’s. What is very interesting about ERV’s and likely true for XMRV is that they are TH1 immunosuppressive which is believed to be critical in the ability to get pregnant as the mother needs to be Th1 immunosuppressed to avoid rejection of the implanted fetus. The hormones of pregnancy and especially progesterone are in part responsible for activating env proteins of ERV’s which apparently are largely responsible for this immunosuppression. It is likely that progesterone activates XMRV env protein and may explain why we see women with more CFS at 4 to 1 over men and the apparent vulnerability of adolescent girls to CFS onset and the relative reduction of the point prevalence of CFS in the elderly and in children compared to the young to middle ages. I have also observed a reduction in severity of CFS symptoms in post-menopausal women though perhaps modulated by their use of HRT. The related hormones to progesterone are pregnenolone and cortisol. I have seen both devastate a handful of CFS cases.